Do I need post-exposure prophylaxis (PEP) for a bandicoot bite on my toe?

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Last updated: January 12, 2026View editorial policy

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Rabies Post-Exposure Prophylaxis for Bandicoot Bite

You do not need rabies post-exposure prophylaxis (PEP) for a bandicoot bite, as bandicoots (small marsupials/rodent-like mammals) are not known rabies vectors and have never been documented to transmit rabies to humans.

Risk Assessment for Small Mammal Bites

  • Small rodents and rodent-like mammals are almost never found to be infected with rabies and have not been documented to transmit rabies to humans 1
  • Even in areas with endemic wildlife rabies, small mammals remain an extremely low-risk species for rabies transmission 1
  • The CDC does not recommend rabies PEP for bites from small rodents or similar small mammals unless the animal's behavior was highly unusual or local public health authorities advise otherwise 1

Immediate Wound Management Required

You must immediately and thoroughly wash the bite wound with soap and water for 15 minutes, then apply a virucidal agent such as povidone-iodine solution to the wound 1, 2

  • Wound cleansing alone markedly reduces the likelihood of infection and is especially important in bite wound management 2
  • Gentle irrigation with water or dilute povidone-iodine solution significantly decreases the risk for bacterial infection 2

Other Essential Considerations

  • Check your tetanus vaccination status and receive a booster if needed 1, 2
  • Assess for bacterial infection risk, which is a more significant concern than rabies with small mammal bites 1
  • Consider antibiotic prophylaxis based on wound characteristics (puncture wounds, hand wounds, or contaminated wounds warrant prophylaxis) 3
  • Monitor the wound for signs of infection: swelling, erythema, tenderness, or drainage 4

When to Consult Public Health

If the bandicoot exhibited highly unusual behavior (unprovoked attack, neurological signs, excessive aggression), consultation with local public health authorities is warranted, though rabies remains extremely unlikely 1

References

Guideline

Rabies Post-Exposure Prophylaxis for Rodent Bites

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Animal bites. Guidelines to current management.

Postgraduate medicine, 1992

Research

Human and Animal Bites.

Pediatrics in review, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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